• feed
    Subscribe
    to this Category Feed
  • Health Net drops rates for California Small Group | Changes for Oct & Nov 2010!

    Effective 10/1! Health Net has made the following changes:  

    • Stanislaus County – Silver rates will go from a 15% discount to a 25% discount
    • HSA 4000 rates will be lowered 10% statewide
    • HSA 4500 rates will be lowered 15% statewide
    • PPO 40-V rates will be lowered 15% in Los Angeles, Inland Empire, and Orange counties (rating regions 5,6, and 8)
    • HRA rates will be lowered 10% statewide
    • Salud HMO rates will be lowered 5%
    • PPO plan rates in Los Angeles County (rating region 8) will be lowered 8% (this excludes PPO 40-V, HSA 4000, and HSA 4500 whose rates will drop 10-15%) 

    Effective 11/1! Health Net is making the following area changes:  

    • El Dorado PPO (split between rating regions 1 and 2 – El Dorado and Marin, Merced, Nevada, etc.) will move to rating region 9 – Alameda, Fresno and Santa Clara counties
    • Marin PPO (rating region 2 ) will move to rating region 7 – San Diego and Imperial counties
    • Contra Costa, Placer and Sacramento PPO (rating region 3) will move to rating region 9
    • Yolo HMO and PPO (rating region 2) will move to rating region 9
    • Fresno (rating region 9) and Tulare (rating region 1) HMO will move to rating region 7 – San Diego
    • Santa Cruz Silver Network (once created) rates will be discounted 25% off the full network

    SIC 10% Discount

    Industry Description SIC Code
    Furniture 2500 -2599
    Stone, Clay, Glass 3200 – 3299
    Steel, Metal Work 3300 – 3399
    Industry Machine (Computer Related) 3500 – 3599
    Electronic 3600 – 3699
    Measurement Instruments 3800 – 3899
    Wholesale Durable Goods 5000 – 5099
    Banks 6000 – 6099
    Real Estate 6500 – 6599
    High Tech 7371 – 7379
    Amusements & Recreation 7900 – 7999
    Engineering & Other Professional Groups 8700 – 8799

     

     

     

     

     

     

      

     PPO MEDICAL RATING REGIONS 

    Region 1          Includes the following El Dorado ZIP codes: 95613-14, 95619, 95623, 95629, 95633-36, 95643, 95651, 95656, 95664, 95684, 95709, 95720-21, 95726-27, 95735, 96142, 96150-58 only, and Amador, Butte, Calaveras, Colusa, Glenn, Humboldt, Lake Mendocino, Monterey, Napa, Plumas, Shasta, Sierra, Sutter, Tehama, Tulare, Tuolumne and Yuba counties 

    Region 2          Includes the following El Dorado ZIP codes: 95667, 95672, 95682 and 95762 only, and Marin, Mariposa, Merced, Nevada, San Benito, San Joaquin, Santa Cruz, Solano, Sonoma, Stanislaus and Yolo counties 

    Region 3          Contra Costa, Kings, Madera, Placer, Sacramento, San Francisco and San Mateo counties 

    Region 4          Kern, Santa Barbara and Ventura counties 

    Region 5          Includes the Los Angeles ZIP codes beginning with 906-912, 915, 917, 918, and 935 only, Riverside and San Bernardino counties 

    Region 6          Orange and San Luis Obispo counties 

    Region 7          San Diego and Imperial counties 

    Region 8          Includes the Los Angeles ZIP codes beginning with 900-905, 913-914 and 916 only 

    Region 9          Alameda, Fresno and Santa Clara counties 

    HMO MEDICAL RATING REGIONS 

    Region 1          Includes the following El Dorado ZIP codes: 95613-14, 95619, 95623, 95629, 95633-36, 95643, 95651, 95656, 95664, 95684, 95709, 95720-21, 95726-27, 95735, 96142, 96150-58 only, Napa and Tulare counties 

    Region 2          Includes the following El Dorado ZIP codes: 95667, 95672, 95682 and 95762 only, and Marin, Merced, Nevada, San Joaquin, Santa Cruz, Solano, Sonoma, Stanislaus and Yolo counties 

    Region 3          Contra Costa, Kings, Madera, Placer, Sacramento, San Francisco and San Mateo counties 

    Region 4          Santa Barbara and Ventura counties 

    Region 5          Includes the Los Angeles ZIP codes beginning with 906-912, 915, 917, 918, and 935 only, Riverside and San Bernardino counties 

    Region 6          Kern and Orange counties 

    Region 7          San Diego

    Region 8          Includes the Los Angeles ZIP codes beginning with 900-905, 913-914 and 916 only

    Region 9          Alameda, Fresno and Santa Clara counties

    This document is not intended to be authoritative, and its accuracy is not guaranteed. It is believed to be correct at the time of its printing. Any questions about official interpretations of the law should be directed to legal counsel.

    Leave a Reply